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腰椎间盘突出症髓核超微结构分子水平的形态学研究

[The study of the morphology of ultramicrostructure in molecular level of nucleus herniation of lumbar intervertebral disc].

作者信息

Zhu T, Zhou S, Shen J

机构信息

First Affiliated Hospital of Naning Medical University.

出版信息

Zhonghua Wai Ke Za Zhi. 1996 Dec;34(12):754-7.

PMID:9590780
Abstract

In order to investigate the morphology of ultramicrostructure in molecular level of nucleus herniations, the authors studied the ultramicrostructure of three cases of nucleus herniations of lumbar intervertebral disc which were proved by operations and one case of normal nucleus pulposus of fresh corpse by using of atomic force microscope. The results showed that the arrangement of collagen bundle, collagen fiber and procollagen fiber were different between the two conditions, and the morphology of molecular particles of proteoglycan in nucleus herniations was different from that in the normal condition. In the condition of nucleus herniations, the collagen fiber formed procollagen fiber reticular porous adhering to the molecules of protein and proteoglycan, and the DNA adhering to the monochain of RNA in fiberal cell nuclei, in the form of bichain and multichain three dimensions helix structures. The banded structure (64-78 mm) of the procollagen fiber, and the collagenation and calcification of the degenerated nuclens pulposuses, the quantity of which was significant greater than normal (P < 0.05) indicated that the chronic injury of lumbar intervertebral nucleus pulposuses gave rise to the injury and break of the collagen fiber which resulted in twist (tangle) phenomenon so that nucleus pulposuses lost their normal resistance strength.

摘要

为了从分子水平研究椎间盘突出症超微结构的形态学,作者利用原子力显微镜对3例经手术证实的腰椎间盘突出症患者及1例新鲜尸体的正常髓核进行了超微结构研究。结果显示,两种情况下胶原束、胶原纤维和前胶原纤维的排列不同,椎间盘突出症中蛋白聚糖分子颗粒的形态与正常情况不同。在椎间盘突出症情况下,胶原纤维形成前胶原纤维网状多孔结构,附着于蛋白质和蛋白聚糖分子,DNA以双链和多链三维螺旋结构的形式附着于纤维细胞核内的RNA单链上。前胶原纤维的带状结构(64 - 78毫米)以及退变髓核的胶原化和钙化,其数量显著多于正常情况(P < 0.05),表明腰椎间盘髓核的慢性损伤导致胶原纤维损伤和断裂,从而产生扭曲(缠结)现象,使髓核失去正常的抗阻力强度。

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